If the words "hip replacement surgery" inspire a twinge of panic, read on: The topic is cloaked in misconceptions. Dancers endure more injuries on the job than, say, bankers, but are we all-after decades of plies, leaps, and extensions-fated to the operating table by age 50? No, say our experts. Proper mechanics and dietary choices are key; listening to pain and slowing down in the face of injury can go a long way. Interestingly, however, genetics-not career choice-is still the strongest determinant of hip arthritis.
Dance Magazine spoke with Dr. Mark Sinnreich, orthopedic surgeon and lead medical consultant for Miami City Ballet; Dr. William Jaffe, Clinical Professor and Vice Chairman of Orthopedics at NYU Hospital for Joint Diseases and an expert in total hip replacement who has helped in their design; and Ruth Solomon, Dance Medicine Research Coordinator, Division of Sports Medicine, Harvard Medical Center. Additional information was adapted from the website of the Harkness Center for Dance Injuries (www.med.nyu.edu/hjd/harkness). The International Associatoin for Dance Medicine & Science also has a helpful website (www.iadms.org).
-Signs of arthritis are decreased range of motion; deep and aching pain in the groin (which refers to the socket) or thigh pain (which refers to the ball) and the surrounding muscles; joint stiffness; increased pain when you are dancing, and continuous pain when at rest. An X-ray can confirm a diagnosis of arthritis.
-Decrease inflammation naturally with a diet high in glucose, fish oils, and Omega-3 fatty acids, says Dr. Sinnreich. Keep bones strong with calcium.
-Maintain flexibility in the hip joints, as well as strengthen muscular balance on both legs. Avoid repetitive trauma when you sense an injury coming on.
-Ruth Solomon adds that pelvis tilts (which open up the anterior hip) and core strengtheners, which stabilize and balance the area, may also help. (Pilates is great for this.)
-If you are too young for a hip replacement, you have a variety of options. With the help of a doctor, you can manage the pain with topical analgesic products and NSAID's (non-steroids), which reduce both pain and inflammation. But remember: NSAID's will mask the pain and can eventually lead to further tissue injury if the area goes untreated.
Years of turn-out may cause hip arthritis: "There have been no studies to my knowledge to confirm that hypothesis," says Dr. Sinnreich. "There are also none to refute it, but I think all dancers would get arthritic hips if this was a risk factor." Dr. Jaffe agrees: "I doubt if external rotation in a finely trained dancer would cause a problem."
I can't get a hip replaced before a certain age: "There is no age limit for hip replacement surgery," says Dr. Jaffe. "But we are reluctant to do hip replacements in young active patients unless they are severely disabled. In those cases we do the procedure with the understanding that they will require additional revision surgery at a later date."
If I dance, I am doomed to need my hips replaced by age 50: Even with all the wear and tear that dancers endure, genetics still play the biggest role in determining whether you are at high risk for arthritis. "If you're going to get it," says Dr. Sinnreich, "you're going to get it."
Hip Resurfacing is a good option for younger dancers: Not true, says Dr. Jaffe. There is a false assumption that hip resurfacing (see below) has a longer lifespan than a total hip replacement (which lasts a minimum of 15 years). Other downsides? Resurfacing does not allow for increased physical activity; the procedure is almost as invasive as hip replacement surgery; and you still run the risk of dislocating the hip post-op.
Labral Tear: a tear in the fibrocartilage that interfaces between the head of the femur and the acetabulum, or socket. "It can get torn with various injuries such as in the extremes of motion that a dancer may encounter," says Dr. Jaffe. A tear can be repaired with arthroscopic surgery. It may lead to arthritis.
Acetabular dysplasia: a congenital condition which results in a shallow hip socket that does not effectively enclose the head of the femur. "In the milder forms," says Dr. Jaffe, "it increases the risk of developing secondary osteoarthritis in adulthood. This condition is much more common in women." Dancers who are naturally very turned out may have this.
Hip Resurfacing: An alternative to total hip replacement. The head of the femur is not removed, but "is ground down to a smaller ball," says Dr. Jaffe. "A metal ball is cemented over the remaining head fragment to articulate with the previously placed, artificial (metal) socket."
What do Percy Jackson, Princess Diana and Tina Turner have in common? They're all characters on Broadway this season. Throw in Michelle Dorrance's choreographic debut, Henry VIII's six diva-licious wives and the 1990s angst of Alanis Morissette, and the 2019–20 season is shaping up to be an exciting mix of past-meets-pop-culture-present.
Here's a look at the musicals hitting Broadway in the coming months. We're biding our time until opening night!
If you think becoming a trainee or apprentice is the only path to gaining experience in a dance company environment, think again.
The University of Arizona, located in the heart of Tucson, acclimates dancers to the pace and rigor of company life while offering all the academic opportunities of a globally-ranked university. If you're looking to get a head-start on your professional dance career—or to just have a college experience that balances company-level training and repertory with rigorous academics—the University of Arizona's undergraduate and graduate programs have myriad opportunites to offer:
Yes, we realize it's only August. But we can't help but to already be musing about all the incredible dance happenings of 2019.
We're getting ready for our annual Readers' Choice feature, and we want to hear from you about the shows you can't stop thinking about, the dance videos that blew your mind and the artists you discovered this year who everyone should know about.
Ah, stretching. It seems so simple, and is yet so complicated.
For example: You don't want to overstretch, but you're not going to see results if you don't stretch enough. You want to focus on areas where you're tight, but you also can't neglect other areas or else you'll be imbalanced. You were taught to hold static stretches growing up, but now everyone is telling you never to hold a stretch longer than a few seconds?
Considering how important stretching correctly is for dancers, it's easy to get confused or overwhelmed. So we came up with 10 common stretching scenarios, and gave you the expert low-down.